Yang Phillip, Folk Johanna B, Lugosi Selena I, Bemat Zeba, Thomas Anne, Robles-Ramamurthy Barbara
Joe R. and Teresa Long School of Medicine, UT Health San Antonio, San Antonio, Texas, USA.
Department of Psychiatry and Behavior Sciences, University of California San Francisco, San Francisco, California, USA.
J Correct Health Care. 2023 Oct;29(5):355-369. doi: 10.1089/jchc.22.05.0041. Epub 2023 Sep 11.
Dialectical behavior therapy (DBT) has shown preliminary success in the treatment of youth in forensic settings. However, the implementation of DBT varies considerably from facility to facility. A scoping review was conducted to detail DBT intervention protocols in juvenile correctional and detention facilities. We described eight works' treatment setting, study design, youth characteristics, staff training, DBT approach, DBT skills modules, and main findings. All works involved DBT skills sessions, but few incorporated other DBT components such as individual therapy or skills coaching. Outcomes included reducing problematic behaviors such as aggression, improving mental health, and largely positive feedback regarding the DBT intervention from youth and staff. Our results consolidate the existing literature regarding DBT intervention in forensic settings for youth and inform future implementation and research of DBT in such facilities.
辩证行为疗法（DBT）已在法医环境中治疗青少年方面显示出初步成效。然而，DBT在不同机构的实施情况差异很大。本研究进行了一项范围综述，以详细阐述青少年教养和拘留设施中的DBT干预方案。我们描述了八项研究的治疗环境、研究设计、青少年特征、工作人员培训、DBT方法、DBT技能模块及主要研究结果。所有研究都涉及DBT技能培训课程，但很少纳入其他DBT组成部分，如个体治疗或技能指导。研究结果包括减少攻击等问题行为、改善心理健康，以及青少年和工作人员对DBT干预的大量积极反馈。我们的研究结果巩固了关于DBT在青少年法医环境中干预的现有文献，并为今后在这类设施中实施DBT及相关研究提供了参考。
